MS. GWENDOLYN MCCLELLAND BRAGG (NPI# 1790086544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790086544 |
Entity Type | Individual |
Full Name | MS. GWENDOLYN MCCLELLAND BRAGG |
Practice Address |
2738 E 00 Ns Kokomo IN 46901-6631 |
Practice Telephone | 7658602511 |
Mailing Telephone | 7658602511 |
Enumeration Date | 2010-11-10 |
Last Update Date | 2010-11-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YS0200X |
Counselor Specialization: School |
1071839 | IN | Behavioral Health & Social Service Providers |
Street Address |
2738 E 00 NS |
City | KOKOMO |
State | IN |
Zip Code | 46901-6631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275814311 | Anna-therese Vaughan | Counselor | 2738 E 00 Ns, Kokomo, IN 46901-6631 | 2011-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
Find all providers in zip 46901 |
Taxonomy Code | 101YS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083119200 | Matthew Thompson | Counselor | 3918 Zeenat Ct, Indianapolis, IN 46254-3129 | 2018-03-28 |
1871040311 | Shannon Best | Counselor | 11735 E State Road 8, Culver, IN 46511-9551 | 2016-09-01 |
1093191272 | June Hoyer | Counselor | 315 N Layman Ave, Indianapolis, IN 46219-5805 | 2015-08-10 |
1982005385 | Rhonda Lynn Patterson | Counselor | 715 N 300 W, Columbia City, IN 46725-9154 | 2014-09-04 |
1336499912 | Leesa Carter-franklin | Counselor | 5716 Glass Chimney Ln, Indianapolis, IN 46235-6094 | 2012-09-11 |
1104129881 | Erin Elizabeth Filson | Counselor | 7270 Oakbay Dr, Noblesville, IN 46062-9423 | 2010-12-17 |
1013140490 | Hns Consulting Services Inc | Counselor | 4954 E 56th St Ste 14, Indianapolis, IN 46220-5769 | 2009-09-01 |
1871731711 | Denny Scott Sipe | Counselor | 604 N High St, Walton, IN 46994-4176 | 2009-01-30 |
1295928331 | Elissa Michelle Lobb | Counselor | 86 Drake Rd, Franklin, IN 46131-2763 | 2007-08-22 |
1902928914 | Kim Weber Eckerle | Counselor | 518 S Plateau Trl, Monticello, IN 47960-1861 | 2007-04-03 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.